Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $891.25 / $1,621.81	Professional	AA	$467.74	$891.25	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $588.84 / $977.24	Professional	QZ	$316.23	$588.84	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $181.97 / $707.95	Professional	AA	$138.04	$181.97	$707.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $158.49 / $204.17	Professional	QZ	$120.23	$158.49	$204.17
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $398.11 / $575.44	Professional	QZ	$309.03	$398.11	$575.44